Organization Active NPI

Westerville Physician Inc.

Doing business as Capital Park Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1730213950
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WESTERVILLE PHYSICIAN INC.
Doing business as
Capital Park Family Health Center
Practice address
2150 Agler Rd
Columbus, OH 43224-4523
Phone
(614) 416-4325
Fax
(614) 546-4243
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sandy K Willis
Title
Interim Finance Supervisor
Phone
(614) 546-4232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OH Primary

Addresses

Primary practice location

2150 Agler Rd
Columbus, OH 43224-4523

Mailing address

2150 Agler Rd
Columbus, OH 43224-4523
Phone (614) 416-4325

Other identifiers 1

IdentifierTypeStateIssuer
0113230OtherOHOTHER

Other names 1

  • Capital Park Family Health Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1730213950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 AGLER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244523",
            "telephone_number": "614-416-4325",
            "fax_number": "614-546-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 AGLER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244523",
            "telephone_number": "614-416-4325",
            "fax_number": "614-546-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERVILLE PHYSICIAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "INTERIM FINANCE SUPERVISOR",
        "authorized_official_telephone_number": "614-546-4232",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "0113230",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Park Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.